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Deficiency Records for Concordia Lutheran Health and Human Care
View the most recent health deficiencies and inspection results for Concordia Lutheran Health and Human Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Concordia Lutheran Health and Human Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-08 | 2025-09-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-08 | 2025-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-08 | 2025-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-08 | 2025-09-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-08-08 | 2025-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-08 | 2025-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-08 | 2025-09-15 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-08 | 2025-09-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-08 | 2025-09-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-08 | 2025-09-15 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2025-08-08 | 2025-09-15 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-08 | 2025-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-08 | 2025-08-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-08-08 | 2025-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-08 | 2025-08-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-08-08 | 2025-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-08 | 2025-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-10-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-29 | 2024-10-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-08-29 | 2024-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-14 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-29 | 2024-10-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-29 | 2024-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-29 | 2024-10-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-29 | 2024-10-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-29 | 2024-10-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-29 | 2024-09-11 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-08-29 | 2024-09-11 | N |
| Meet other general requirements. | Fire Safety | 2024-08-29 | 2024-09-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-12 | 2024-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-07-24 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-20 | 2023-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-20 | 2023-11-24 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-10-20 | 2023-11-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-20 | 2023-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-11-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-10-20 | 2023-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-20 | 2023-11-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-08-07 | Y |